Views:3 Author:Site Editor Publish Time: 2021-03-26 Origin:Site
9 What is prostate hyperplasia?
Prostatic hyperplasia is a common disease in elderly men. Its cause is that the gradual enlargement of the prostate exerts pressure on the urethra and bladder outlet. It is clinically manifested as frequent urination, urgency, increased frequency of urination at night, and laborious urination, and can lead to urinary system infections. Complications such as bladder stones and hematuria have a serious impact on the quality of life of elderly men, so active treatment is needed, and some patients even need surgery.
10 What are the symptoms of prostate hyperplasia?
The symptoms of benign prostatic hyperplasia are mainly manifested in two groups of symptoms: one is bladder irritation; the other is obstructive symptoms caused by hyperplasia of the prostate and obstruction of the urinary tract.
①Bladder irritation symptoms: frequent urination, urgency, increased nocturia, and urge incontinence. Frequent urination is an early signal of prostate hyperplasia, especially the increase in nocturia is more clinically meaningful. Old people who can't afford to urinate at night often urinate 1 to 2 times at night, which often reflects the advent of early obstruction, and the development from 2 times a night to 4 to 5 times a night or more indicates the development and aggravation of the disease.
②Weak urination, thinning of urinary line and dribbling: Due to the obstruction of the hyperplastic prostate, the patient has to use greater force to overcome the resistance, and even the urination is difficult; the hyperplastic prostate will deflate the urethra and cause the urinary line to become thin; as the disease progresses , There may also be symptoms such as interruption of urination and incomplete drip after urination. When you feel the urge to urinate, you have to stand in the toilet and wait for a while before you urinate. The urine flow becomes thinner, the discharge is weak, and the range is not far. Sometimes it drips down from the urethral opening.
11 What are the consequences and complications of prostate hyperplasia?
①Hematuria: An enlarged prostate indicates that there are many blood vessels. These blood vessels will rupture when the pressure increases, making blood in the urine called hematuria, also known as hematuria. Under normal circumstances, there are no red blood cells in the urine. Medically, after centrifugal precipitation of the patient's urine, it is examined with a microscope. If there are more than 5 red blood cells in each high-power field of view, it is called hematuria.
② Urinary retention: In patients with advanced prostate hyperplasia, acute urinary retention may occur due to cold, drinking, long urinary retention, or infections when the obstruction is severe.
③Hydronephrosis and renal insufficiency: This is due to the proliferation of the prostate oppressing the urethra, and the bladder needs to contract forcefully to overcome resistance and excrete urine. Over time, the bladder muscles will become hypertrophic. If the pressure on the bladder cannot be relieved for a long time, the residual urine in the bladder will gradually increase, the bladder muscle will become ischemic and hypoxic, become no tension, and the bladder cavity will expand. Finally, the urine in the bladder will be poured back into the ureter and renal pelvis, causing hydronephrosis, and uremia may occur in severe cases.
④Infection: As the saying goes: "running water does not rot", but patients with benign prostatic hyperplasia often have different degrees of urinary retention. The residual urine in the bladder is like a pool of stagnant water, and bacterial growth may cause infection.
⑤ Bladder stones: bladder stones in the elderly are also related to benign prostatic hyperplasia. When the urinary tract is unobstructed, stones generally do not grow in the bladder. Even if a stone falls from the ureter into the bladder, it can be excreted in the urine. It's different for the elderly suffering from benign prostatic hyperplasia.
⑥ Hernia (intestinal gas): Prostatic hyperplasia may induce hernia (intestinal gas) and other diseases in the elderly. Some patients with benign prostatic hyperplasia will have symptoms of dysuria, requiring exertion and holding their breath to urinate. Due to frequent exertion, the intestines will protrude from the weak part of the abdomen, forming a hernia (small intestinal gas), and sometimes patients will also develop hemorrhoids and varicose veins in the lower extremities.
⑦ Hemorrhoids: Increased intra-abdominal pressure can easily cause hemorrhoids. Hemorrhoids are divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids. They are masses caused by varicose veins in the upper and lower rectal plexus on both sides of the dentate line. Increased intra-abdominal pressure, obstruction of venous return, and blood stasis in the upper and lower rectal venous plexus are important causes of hemorrhoids. Patients may experience bleeding during defecation, prolapse of hemorrhoids, and pain. Therefore, hemorrhoids can often be relieved or even healed after the dysuria is relieved in patients with benign prostatic hyperplasia.
12 What examinations are needed for prostate hyperplasia?
① Digital rectal examination: The prostate is enlarged, the texture is tough, the surface is smooth, and the central groove disappears.
②Ultrasound examination: It can show the proliferation of prostate, increased residual urine, and whether there are bladder stones. ③Urine flow rate inspection: the urine flow rate is reduced.
④Urine routine: determine whether there is a urinary tract infection.